Final Material Flashcards by Rachel Surprenant

Superficial hemangioma of infancy Tx

self-limiting, resolve 5-8 years

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Deep hemangioma of infancy Tx

spontaneous resolution, interferon, surfery, propranolol, corticosteroids, vincristine, cyclophosphamide

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Vascular malformation Tx

pulsed dye laser

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Cherry angioma and Venous Lake Tx

(removed for cosmetic reasons)

radiosurgery, shave excision, laser, electrodessication

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Spider angioma Tx

(for cosmetic reasons)

radiosurgery, laser, electrosurgery

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Chondrodermatitis nodularis chronica helicis Tx

excision, electrodessication, curettage, cryo

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Pyogenic granuloma

excision/ bx and electrodessication

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Solar Lentigo Tx

Monitor
Hydroquinone solution, tretinoin, azeliac acid cream. glycolic acid peels and creams
Light cryotherapy

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Epidermoid and Trichilemmal Cyst Tx

Excision

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Mucoid or Ganglion Cyst Tx

compression early, aspiration/sclerosant, corticosteroid injection or excision, acupuncture

mucoid can also do cryo

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Meibomian Cyst Tx

hot compresses 10-15 min qid/2-3 wks
can self-resolve in a few months
Consider steroid injection after 6 wks
incision and curettage-w/ or w/o antibiotics

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Stye Tx

Hot and cold compresses

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Pemphigus Vulgaris Tx

steroids, immunosuppressive therapy

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Bullous pemphigoid Tx

systemic prednisone, topical glucocorticoids, anti-inflammatory diet

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Dermatitis Herpetiformis Tx

Gluten free diet, Dapsone and sulfapyridine may be necessary

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Vitiligo Tx

Western: sunscreen, oral and/or topical psoralen (drug that enhances sensitivity to light) with UVA/UVB
Natural: high dose B12 and folic acid; sun exposure;
L-Phenylalanine
Gingko biloba

Melasma tx

can be difficult to treat

Reduce UV exposure, hypopigmenting agents (i.e. hydroquinone), topical tretinoin, azelaic acid, chemical peels, lasers

Alopecia Tx

stress reduction, topical or systemic glucocorticoids(
Zinc with biotin
topical application of crude onion juice

Urticaria Tx natural

Vit C
B12 IM
Quercitin
HCl if deficient
Tx H pylori if present
Stress management
Baking soda, starch or oatmeal bath
Botanicals: comfrey, euphori, yerba sante

Urticaria Tx Rx

antihistamines
prednisone
epi- if angioedema

HPV Warts Tx

cryotherapy
electrosurgery
podofilox- topical antimitotic
surgical excision

need several rounds of tx

Plantar Warts Tx

Trichloroacetic acid topical

Radiosurgery

HSV Tx

Topical – Acyclovir, natural (Honey, Aloe, rhubarb-sage, licorice, Melissa, lysine, allantoin)
Oral - Acyclovir, natural (monolaurin, olive leaf, elder berry, lysine)
Stress management
decrease arg in diet

Chickenpox Tx

symptoms-calamine lotion, oatmeal bath
secondary infections- mupirocin ointment
Acyclovir w/in 24 hrs decreases duration and intensity by half
communicable - prodrome to crust

Shingles Tx

Bed rest, NSAIDs, sleep aids, capsaicin, lidocaine patches, moxa, Honey, acupuncture, US Acyclovir: w/in 24-48 hr - decreases the intensity and duration by half Few natural studies - monolaurin, olive leaf, elder berry, B12 IM, andrographis, homeopathy, etc.

Impetigo Tx

Self-limiting Topical- Mupirocin (with nasal if recurrent) Oral abx if cannot tolerate topical

Furuncle Tx

warm compress I/D consider abx

Cellulitis Tx

oral abx x 10 days

Erythrasma Tx

Erythromycin BID x 5 days po OR BID topically x 2 weeks OR Clarithromycin single dose

Pitted keratolysis Tx

cotton socks, decrease moisture, consider topical abx

Scabies Tx

Hot bath + permethrin topically, repeat in 1 week

Pediculosis Tx

1 application of 0.5% ivermectin lotion Pomades (petrolatum, mayonnaise, pomades) for 10 minutes to kill lice, but not eggs (nit) Nit combing daily with Neem (Koodies shampoo), 1% permethrin (Nix), or pyrethrins (Rid),5% permethrin with failures Lindane, malathion Oral Ivermectin-single dose, repeat in 10 days Fomite control-clean and vacuumed

Lyme Tx- Early Dz

empiric antibiotics without serological testing for patient with erythema migrans and high probability of having Lyme disease doxycycline or amoxicillin Anti inflammatory/elimination diet, probiotic, samento (cat’s claw), enzymes